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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 183243, 4 pages
http://dx.doi.org/10.1155/2015/183243
Case Report

Primary Fallopian Tube Clear Cell Adenocarcinoma in Pregnancy: Case Presentation and Review of the Literature

1Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah 22254, Saudi Arabia
2McGill University, Montreal, QC, Canada

Received 22 January 2015; Accepted 11 May 2015

Academic Editor: Mehmet A. Osmanağaoğlu

Copyright © 2015 Mohammed Malak and Stephanie Klam. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary fallopian tube cancer in pregnancy is rare and is even more so for the clear cell variant. Our case is the third case of primary fallopian tube cancer in pregnancy and the first case of clear cell adenocarcinoma of the fallopian tube in pregnancy. The patient presented with increasing pelvic pain starting in the second trimester. Serial ultrasound evaluations were performed and revealed a rapidly growing complex adnexal mass adjacent to the uterus. Her pregnancy was further complicated by spontaneous preterm labor and she delivered prematurely per vaginam at 31 weeks. She underwent an urgent laparotomy in the immediate postpartum period for acute aggravation of her right pelvic pain and fever. The diagnosis of tubal clear cell adenocarcinoma was subsequently made on histopathology examination.